Biceps Femoris Tendinopathy

Hamstring-Sports Physiotherapy-Toronto

Biceps Femoris Tendinopathy


What is biceps femoris tendinopathy?

The biceps femoris tendon is one of the three hamstring muscle tendons, that is located at the back of the knee. It’s primary function is to assist in knee bending and extending the hip backwards. A tendinopathy refers to a chronic (greater than 3 months) caused by cumulative microtraumas from repetitive overloading.  Injury top the bicep femoris tendon causes pain on the most lateral part of the back of the knee, stiffness, and often weakness of the biceps femoris tendon, effecting the other muscles that make up the rest of the hamstring.

Symptoms of biceps femoris tendinopathy:

It is an injury which generally occurs as a result of overuse or a partially ruptured tendon, causing degeneration of the tendon.

  • Inflammation
  • Hamstring stiffness and decreased muscle extensibility
  • Pain and tenderness felt along the muscle belly or at the point where the hamstring tendons attach to the bone
  • Reduced bending capabilities of the knee


Initial Protocol:

Treatment of the injured biceps femoris tendon should first involve rest, ice therapy, compression, and elevation to relieve inflammation and pain.

Physiotherapy Treatment:

It is advised to see a physiotherapists as soon as possible to be able to devise an individualized treatment plan to relieve pain and inflammation, but also to work long term to rehabilitate and strengthen the tendon to avoid re-injury.

The rehabilitation treatment plan may also include the use of modalities such as;

Shockwave Therapy to help break down muscle tissue adhesions and increase blood supply and circulation to the injury site.

Laser Therapy to help reduce inflammation and pain

Acupuncture or dry needling can provide relief of pain and also restore proper healing and function.

These treatment modalities work to promote and enhance the body’s self-healing abilities, resulting in a faster recovery time. In addition, the physiotherapist will prescribe exercises to both stretch and strengthen the tendon and surrounding tendons and muscles, progressing gradually dependent on improvement and pain levels.

To book an appointment with one of our friendly physiotherapists, please call (416)900-6653 or book online today!

About the Author

Brad SaltzBrad is a Registered Physiotherapist at Ace Physio, a highly respected Physiotherapy clinic in downtown Toronto. Ace Physio provides high quality one on one Physiotherapy that combined state-of-art technology such as; Shockwave Therapy, Laser Therapy, and Spinal Decompression with traditional Physiotherapy.View all posts by Brad Saltz